Outreach Programs Form

Please use this form to request information about one of our Outreach Programs or to enroll in a program.

Your Name

Your Email

Street Address

Phone Number

Select Program(s)

Adopt A PrecinctMove The VoteVoter Registration DriveOther Not Listed

Type your questions or requests here. If you are requesting a guest speaker or inviting our staff to participate in your event with a Voter Registration Drive, please include event date(s) and details below. Thank you!

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.
History.—s. 1, ch. 2006-232.